Terapia ipostimolante mediante blocchi anestetici nel dolore cranio-facciale - Hypostimulation therapy using anesthetic blocks in the craniofacial pain

Abstract

The therapeutic value of greater occipital and supraorbital nerve blokade in 262 patients with migraine, unresponsive to several combinations of pharmacological treatments, was investigated. Two-hundred-fourteen patients (82%) responded well and maintained a favorable response during the six-month period of observation. Furthermore, the same treatment has been administered to 180 patients who suffered from trigeminal neuralgia. 103 of them received a complete remission of painful attacks while 45 persons had a partial remission of the same symptoms according to a six and twelve month follow-up survey. The trigeminal nerve hypersensitization coud be interrupted by the performed procedure as the following facial trigger point suppression would suggest us. We hope that this clinical experience, together with a correct neurophysiological study, could prove be useful in clarify pathogenetic aspects.

Keywords

• migraine
• trigeminal neuralgia
• occipital nerve block
• supraorbital nerve block
• CGRP